HomeMy WebLinkAboutPermit Building 1999-04-20SPIIINGFIELD
225 North Fifth Street
Springfield, OR 97477
Locat,ion of Proposed Work: 1919 22ND ST 13
Assessors lrlap #: 17032500
Lot: Block:
a t a
Office
Inspection Line
Page 1
Job Number: 990267
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7 25 -37 59
726-3769
Tax Lot #: OO2O4
Subdivision:
SPruNGFIELD,
Owner: ,JANICE RAI{EY
Address: 130 RIVER AVENUE #23
Descri-be Work: ldA.I{UF HOME & cARA,cE
phone #:
city/state/zip: EUGENE, OREGON 97403
NEW
General:
PJ-umbing:
Electrical:
ConEractor
GREAT WESTERN M 0046472
5024 MAIN STREET SPRINGFIELD OR 974
GREAT WESTERN M 0046472
5024 MATN STREET SPRINGFIELD OR 974
HERITAGE INV 0053137
1042 HARN LANE EUGENE OR 974O4OOOO
ConsE.
Contractor #Expires
1,1,/12/ee
1,1,/1,2/99
r,2 /21 / ee
Phone
7 25 -21,7 L
726-2171,
688-1500
QUAD AREA: 2RNW
# OF UNITS: 1
CONSTR. TYPE: VN
WATER HEATER: E
-- OFFICE USE --
LAND USE: 1150
ZONING CODE: LDR
# OF BDRMS: 3
RANGE: E
# OF BLDGS: 1
OCCY GROUP: R3
HEAT SOURCE: FE
SQ FOOTAGE: 1387
To request, an inspection, call- the 24 hour recording aL 726-3769,
A11 inspections requested before 7:00 a.m. wil-I be made the same working day,
inspections requested after 7:00 a.m. wil-1 be made the folLowing work day.
--- REQUIRED INSPECTIONS ---
FOOTfNG - After trenches are excavated.
FOITNDATfON - After forms are erected but prior to concrete placement.
WATER LINE - Prior to filling trench.
SA.MTARY SEWER LINE - Prior to filling trench.
STORM SEWER IJINE - Prior to fil_11n9 trench.
MANUF HOME/MoBILE HOME SET Up - When all_ blocking is complete.
IiI,NIUF. HOME/MOBILE HOME ETECTRTCAL _ WhCN blOCKiNg, SCTUP, ANd
plumbing inspections have been approved and home is connected to panel
MAI\[UF. HOME/MOBrtE HOME PLITMBTNG - After home has been connected to
water and sewer.
PEDESTAL - Prior Lo cover.
ROUGH ELECTRICAL - Prior to cover.
SHEAR WALL NAILfNG - Before covering sheathing with finish materi-al-s.
FRAMING - Prlor to cover.
FINAIJ BUfLDING - When all reguired inspect.j-ons have been approved and
the buil-ding is complete.
FINAL sET UP - .After all required inspections are approved and porches
skirting, decks, venting, house numbers, etc. have been instal_red.
Item
Main
Garage
--- BUTLDING PERMIT ---
Square Feet x $/Square Feet Value
0.00
5 , 549 .0030818.34
SPRINGFIELD
rTob Number: 990267
SPruNGFIELT',
Page 2
FTG/FDN
MANU/HOME
Total Value
Building Permit Fee
Surcharge/admin
TOTAI, FEE (A)
3,000.00
30,000.00
38,549.00
74.50
5 .97
80 .47
ftem
Sanitary Sewer
Water
SLorm Sewer
Mobile Home
Plumbi-ng Permj-t
Surcharge/admin
TOTAIJ CHARGE
PLIIMBING PERMIT
50
50
50
Fee
25 .00
25.00
25 .00
15.00
90.00
t.2u
97 .20(c)
MISCELLAT,{EOUS PERMITS
Mobil-e Home
State fssuance
Surcharge/admin
Surcharge/admin
CITY SDC
ELECTRIC PERMIT
WILLA]VIALANE
PLAN CHECK FEE
TOTAL MISCEIJI'ANEOUS PERMTTS
105.00
30.00
5.25
3.15
2,285.78
88.55
599.00
48 .43
(E)3,266.L7
(Excluding Electrical)
unless otherwise noEed
TOTAIJ AII{OI,NT DUE -. -
(A, B, C, D, and E combined)3 , 443 .84
BUILDING VALUE, PLAI{ CHECK A}ID BUILDING PERMIT
Thj-s permi-t is granted on the express condition that the said construct.j-on
shal-l-, in a1J- respects, conform to the Ordinance adopted by the City of
Sprj-ngfie1d, including the Devel-opment Code, regulating the construcLion and
use of buildings, and may be suspended or revoked at any time upon violation
of any provisions of sai-d ordinances.
Received By:
Pl-ans Reviewed By: AL WARD
Building Site Reviewed By: LISA HOPPER
ADDITIONAI, COMMENTS
By signaEure, I stsate and agree, that f have carefully examined
t,he completed application and do hereby certify that all information hereon
is true and correct, and I further certify that any and all work performed
sha1l be done in accordance with the Ordinances of the City of Springfield,
and the Laws of the State of Oregon pertaining to the work described herein,
and that NO OCCUPANCY will- be made of any structure without permission of the
Community Services Dj-visj-on, Building Safety. I further certify that onlycontractors and employees who are in compliance with ORS 201.055 wil-l- be
used on this project.
Date: 04/l-5/99
SPFINGFIELD
rTob Number: 990267 Page 3
I further agree to ensure that aII required inspections are requested at the
proper tj-me, that each address is readable from the street, that the permit
card is located at the front of the property, and the approved set of plans
will remain on the si-te at all times during construction.
'?3'7
e ture Dat.e
SPilNGFIELI',
--- VALIDATION ---
o 3 39LfReceipt Number:
Date Paid:
Amount Received 3
Receiwed By:
?.
).r
SPFINGFIELE,
BACKFLOV PREVEMION DEVICE PERMIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
225 FIFTH STREET OFFICE: 726-3759
#/3 s.DJOB LOCATION:
.)
-J'
ASSESSORS UEP #:170 ttf o D rAX Lor *: 00"4q
O}JNER:
ADDRES S:
CITY: 5 STATE:
oa,s TSNOr
BACKFLOII PERHIT IS $15 .00 + 1.05 (STATE suRcHARd[5Y 1_8P.ay
UI\:U
CONTRACTOR:
ADDRESS:
follow
calf
b'PHONE *:
STATE:o/?ZIPz r ? ,<-s'{
EXPIRES:2 -2 F-oo
7
CITY:
CONSTRUCTION CONTRACTORS
center
BY SIGNING THIS PERMIT/APPLICATIoN, I AqR!!-TO^CALL FoR AN INSPECTIoN oNCE TllE
BACKFLOW PREVENTION DEVICB HAS BEEN INSTALLED AND IS VISIBLE FOR INSPECTION
(726-3769). r aiio STATE rHAT Aii rNFoRMArroN oN THrs PERMTT/APPLTCATIoN rs
CORRECT.
*:
<-
FOR OFFICE USE
DATB OF APPLICATION:?
RECEIPT S:1 ISSUED BY:
TOTAL AHOI'NT COLLECTED:
I
-e)
lJ,
0B *:W< lEozc7
225 FfFTE STREET A,ri.riurized Signature
SPRTNGFTELD, oREGoN 97 477
INSPECTfON REQTEST: 726-3769
OFFICE: 726-3759
SF ,GFIELO
as submitted has the ?*zontng , and does not require specific
Zoning '(?.
PERHIT APPLTCATTON
Ci t1, Job Nunber ?7OZC
13 3. C0i{PLETE FEE SCEEDIiLE BELov
A- New Resiciential-Sing:e c:
Huit j.-Fam:i"y per dvei_::rg uni t.
Service Inciuded:
approval
Date
1. LOCATION OF TNSTALLA
I..EGAI DSSC?IPTIOI{/?b9z 0 0O2of
t.l s rnR on tbt
2. CONTRACTOR INSTAII.ATTON ONLY
Electrical Contracto
Address p
Ci ty
Superviso Li cense
Expiration Date'4 tortheOregon
Constr Contr. Number .4*OOt
Expirarj.on Date Q - t+ - oo
Signa e of Supervising Electrician
1000 sq.ft. or less
Each addirional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
-Hodular Dvelling
Service or Feeder
B. Services or Feeders
6hc Cos t
s 8s.00
s 1s.00
s 40.00
s s0.00
s 50.00
s100.00
s130.00
s300.00
s 40.00
3L*
Sum
JOB DESCRIPTION'u.3tn*- \".,%Permits are non-transferable and expireif vork is not starred r".-ithin 180 daysof issuance or if voril is suspended for
180 ca1's.
,)
rary Services or FeedersInstallation, Alteration or Relocation
200 amps"or less S 40.00
201 amps to 400 amps
-
S 55.00
0ver 401 to 600 anps
-
S g0.OO
0ver 600 amps or 1000-voTrs see '8" a56E
D. Branch Circui ts
Nev, Alieration or Extension per panel
K
Ovners l(ame
Address S^t--
ci tv-pi:one 1o?9 (o&4
OSNEP. TNSTALI,ATION
The installarj.on is being made onpropert]'I oun vhich is not intended
f or saie . ]ease or ren.. .
ners Signature:
DATE:?1
onecircui, / S35.00
Each Acidi tional
Circuit or vith Service
or Feerier Pernit S 2.00
HisceiLaneous (Service,,:eeder not included)
-Each installation
Pump or irrigation
Sign/Ou rline Lighting-
Linite<i Energy/Res
-Limite<j Energy/Conm
s 40.00
s 40.00
s 20.00
s 36.00
5. SIETOTAL OF ABOVE5I State Surcharge
3Z Adainistrative Fee
TOr;AtRESETVED :,-).
&
SPRIT\TCiFIELE,
RESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726'3759
JoB NUMBER ?fu267
225 Fifth Street
Springfield, Oregon 97 477
/?t 1 2 {/3LOCATION OF PROPOSED WORK:
ASSESSORS MAP:/47*?-f-aa TAX LOT:v
SUBDIVISION:Lor: BLocK:
PHONE:
ztP
2a4
73,-I /2-STATE:,4
A g'1^1 622
CITY:
ADDRESS:
OWNER:
NEW ..-- REMODEL ADDITION DEMOLISH OTHER
f-.n7//DESCRIBE WORK:
GENERAL:
ELECTRICAL:
PHONEEXPIRESADDRESS
3/s.z*s6Erc2r:t Ds..*4
CONTRACTOR'S NAME
MECHANICA
PLUMBING:
CONST,
CONTBACTOR #
RANGE:
# OF BDRMS:
_ OFFICE USE _
ZONING CODE:
FLOOD PLAIN
WATER HEATER
SECONDARY HEAT
SQUARE FOOTAGE:
QUAD ABEA:
# OF BLDGS
LAND USE:
CONSTR. TYPE:
HEAT SOURCE:
To requ est an ins pection, you must call 726-376g. This ls a 24 hour recording. All inspections requested before 7:o0 a.m. wlll be
made the same working day, inspections requested after 7:00 a.m. will be made the following work day'
REQUIRED INSPECTIONS
f-l TemporarY Electric
ll ffi Rough Mechanical - Prior to
# cover.
Final Plumbing - When all
plumbing work is comPlete.
Site lnspection - To be made
af ter excavation, but Prior to
setting forms.
Rough Electrical - Prior to Final Electrical - When all
electrical work is comPlete.cover.
Underslab Plumbing / Electrical /
Mechanical - Prior to cover.
Eleclrical Service - Must be
approved to obtain Permanent
electrical power.
W Final Mechanical - When all
mechanical work is comPlete.
Footing - After trenches are
excavated.Fireplace - Prior to facing
materials and framing lnsP.
Final Building - When all
required inspections have been
approved and building is
completed.Masonry - Steel location, bond
beams, grouting.Framing - Prior to cover.
Other
Foundation - After forms are
erected but Prior to concrete
placement.
Wall/Ceiling lnsulation - Prior to
cover.
Underground Plumbing - Prior
to filling trench.l-l Drywall - Prior to taping
MOBILE HOME INSPECTIONS
Underlloor Plumbing/ Mechanical
- Prior to insulation or decking.Wood Stove - After installation.
Post and Beam - Prior to floor
insu!ation or deoking.!nser! - After lirep!a{le ;:lllpioval
and installation of unit.
Blocking and Set-UP - When all
l:locking is complete.
Floor lnsulation - Prior to
decki ng.Curbcut & APProach - After
forms are erected but Prior to
placement of concrete.
Plumbing Connections - When
home has been connected to
water and sewer.
Sanitary Sewer - Prior to filling
trench.Electrical Connection - When
blocking, set-up, and Plumbing
inspections have been approved
and the home is connected to
the service panel.
Storm Sewer - Prior to filling
trench.
Sidewalk & DrivewaY - After
excavation is comPlete, forms
and sub-base material in Place.
Water Line - Prior to filling
trenc h.
Fence - When completed.
Slreel Trees - When all required
trees are planted.
Final - After all required
inspections are approved and
porches, skirting, decks, and
venting have been installed.Rough Plumbing - Prior to
cover.
(
9aq7t
OCCY GROUP:
I OF STORIES:
E rr
E
E
E
E
E
E
rr
tl
tl
E
il
tl
E
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
Lot Type
-
lnterior
-
Corner
-
Panhandle
-
Cul-de-sac
Setbac IS THE PROPOSED WORK IN THE
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
-
lf yes, this application must be signed
and approved by the H istorical
Coordinator prior to permit issuance.
APPROVED:
P.L,HSE GAR ACC
N
S
E
VALUE
(A)
x $/so. FT.
Total Value
Building Permit Fee
State Surcharge
Total Fee
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit is granted on the express concjition that the said
construction shall, in all respects, conform to the Ordinanceadopted by the City of Springfield, including the
Development Code, regulating the construction and use ofbuildings, and may be suspended or revoked at any time
upon violation of any provisions of said ordinances.
Plans Fleviewed By Date
Date Paid
Receipt Number
Received By:
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties within the City limits which are being improved.
ITEM
Fixtu res
Besidential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Mobile Home
FEE
(c)
FT.
No
FT,
FT.
PLUMBING PERMIT
Plumbing Permit
State Surcharge
Total Charge
ADDITIONAL COMMENTS
Wood Stove/ lnsert/ Flreplace Unit
Dryer Vent
(D)neP
No
oe
Vent Fan
Mechanical Permit
lssuance
State Surcharge
Total Permit
MECHANICAL PERMIT
Fu rnac e
Exhaust Hood By signature, I state and agree, that I have carefully examined
the completed application and do hereby certify that all
information hereon is true and correct, and I f urther certify
that any and all work performed shall be done in accordance
with the Ordinances of the City of Springfield, and the Laws
of the State of Oregon pertaining to the work described
herein, and that NO OCCUPANCY will be made of any
structure without permission of the Building Safety Division.
I further certify that only contiactors and employees who
are in compliance wlth ORS 70i.0SS will be used on this
proiect.
I further agree to ensure that all required inspections are
requested at the proper time, that each address is readable
from the street, that the permlt card is located at the front
of the property, and the approved set of plans will remain
7
on the site at all times dr.rrin g construction
.4
Signature
Date
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
-
ft
Demolition
State Surcharge
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electricat)
(A, B, C, D, and E Combined)
.2e
DATE PAID
AMOUNT RECEIVED
RECEIVED BY
VALIDATION:
BECEIPT NUMBER
I
BUILDING PERMIT
ITEM SO. FT.
Main
Garaoe
Carport
Plan Check Fee: _
v??<
,rlINGFIELD
ELEGTRICAL PERHIT225 FIFTE STREET
SPRINGFIEU), oREGoN 97477
INSPECTION REQITEST.: 726-3769
OPFICE: 726-3759
Ci ty
1 0
Permits are n- t rans ferable
if vork is not started vithin 18
of issuance or if vork is susPen
180 days.
2. COMRACTOR INSTALI,ATION ONLY
Electrical Contractor
Address /L fue &p-
Phone 73f - /Soo
LD/1-
4-ao'11
v"J
Ci ty Job Nunber
3. COHPI,ETE FEE SCEEDTILE BELOV
]J A. Nev Residential-Single or
ling un
I tems
Servi Feeder 7 $ 4o.oo 7o
B. Services or Feeders
Installation, Alterations
or Relocation:
it.
Cos t
$ 8s.00
$ 1s.00
Su:
Supervi.sor Li cense Num ber /F5-S
Expiration Date o
consrr conrr . x.r,luver 671A7 i*^ E'
Expiration Date
Signa turg of SuPervising Electrician
Owners
Address
Name
Ci ty Phone
OVNER STALLATION
200 amps or less $
201 amps to 400 amPs
-
q
401 amps to 600 amPs
-
q
601 amps to 1000 3ilP"- iOver 1000 amPs/volts $
TemporarY Services or Feeders
inii"ff"iion, Alteration or Relocation
200 amps"or fess S 40'00
o;;'-4bi to 600 amPs
--
$ 80'00
0ver 600 .rp" ot-i5OO 'oft" see "8" a6ive
L3
C
D. Branch Circuits
Nev, Alteration or Extension Per Panel
one circuit $ 35'oo
Each Additional
Circuit or vith Servicel
or Feeder P..*i',ot'""=l $ 2' oo ' 7
Miscellaneous (Service/feeder not included
50.00
60. 00
100. 00
130.00
300.00
40.00
s
$
$
$
?t.ru
The installation is being made on
piop"tty I ovn vhich is not intended
ior sa1e, lease or rent'
0rners Signature:
-Each installation
PumD or irrigation
-
Sien/Outline Lighting-
Limited EnergY/Res
-
Limi ted EnergY/Comm
E
40.
20.
(,I
40
36
00
00
00
00
5. SUBTOTAL OF ABOVE
5Z State Surcharge
3Z Administrative Fee
TOTAL
DATE:
RECEIVED
q1
Multi per
uded:
Ior.r
i
exp
is?
I
I
i
CITY OF
UUillamalane
Park & Recreation District qqDupl
Job. No.
SYSTEM DEVELOPMENT CHARGE
WORKSHEET
NAME:PHONE:
ADDRESS:TE:
LOCATION OF PROPOSED BUI NG +\3
NO. OF UNITS X $699 Per unit =
WILLAMALANE SDC
2. SDC CREDIT (if applicable) SDOaayer must tumlsh proof of
Willamalane Credit approval. See SOC Credit Wotksheet.$
3. TOTAL WILLAMALAN ET SDC ASSESSED
SDC reduced for Credit)$
IP:3
Street Address:
Plat Na Tax Lot Number:
1. DEVELOPMENT TYPE (Check appropriate dwelling(s). SDC calctlations and dwelling t
ype definitions are on the back.)
A. Single-Family Detachect
single Family home Manufactured home not in a park
NO. OF UNITS X $1,000 per unit = $
B. Single-Family Attached
NO. OF UNITS X $924 per unit = $
C. Multi-Family Apartment
NO. OF UNITS X $692 per unit = $
D. Manufac{ured Home Park
$
$
qe
\
City of
(if
Se Department
,lt
ffi=
>o a
?M
a
.oo
6
.,UUKNAL UK JUD IYU.
ATTACHMENT A 4)?A267
CITY OF SPR.*.JFIELD SYSTEMS DEVELOF .NT CHARGE
WORKSHEET
NAME OR COMPANY Rno a'l
LOCATION \q t1 ?-Zs.r D ll\3
DEVELOPMENT TYPE Str
SQ. Ft.BUILDING SiZE
1. STORM DRAINAGE az(w\ t z-8(5)FG^()
SIZ F
Q . OO X $0 .227 PER SQ. FT $ +lq,5z
Z,* X $47. 14 PER PFU 3\,l-
IMPERVIOUS SQ. FT zt
2. SANITARY SEI^JER-CITY
NO. OF PFU'S
(See Reverse Side)
3. TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER TRIP
o.5Lx {#r x $475.32
x x s475.32
4. SANITARY SEI,IER-MWMC
A. RE]MBURSEMENT COST:
NO. OF FEU'S X 271,4+PER FEU
B. IMPROVEMENT COST:
NO. OF FEU'S I X Z5,ZO PER FEU
MI^IMC CREDiT IF APPLICABLE (SEE REVERS-E)
MI^JMC ADMINISTRATiVE FEE
SUBTOTAL (ADD ITEMS 1,2,3 & 4)
5. ADMINISTRATIVE FEES:
BASE CHARGE (SUBTOTAL ABOVE) X .05
Msc
SDC Coordinator
ATIACH'A. [^JPD
zbb, tVs4#{
$ 211 .4
$ 23.20
<$ lo ,81
tJ
TOTAL-MI^JMC SDC
$ 10.00
$ 2ol ,Y3
$ zttl ,ffi
$tc ,(7
TOTAL SDC
'$228b,1&
I
our".+lrfw
FIXTURE UNIT CALCULATION TABLE: Number of New Fixtures X Unit Equivalent = Fixture Units
(NOTE: For remodels, calculate only ,^2 NET additional fixtures)
MBER OF UNIT FIXTURE
FIXTURE TYPE NEW FIXTURES EOUIVALENT UNITS
Bathtub........./t
Drinking Fountain.... -.-...-.....
Floor Drain.
lnterceptors For Grease/Oil/Solids/Etc....
lnterceptors For Sand/Auto Wash/Etc....
Laundry Tub/Clotheswasher......
Clotheswasher - 3 Or More.....
o4
Mobile Home Park Trap (1 Per Trailer)......
Receptor For Refrigerator/Water Station/Etc
Receptor For Commercial Sink/Dishwasher/Etc..
Shower, Single Sta11..........
Shower, Gang
Sink: Bar, Commercial, Residential Kitchen..
Urinal. Stall/Wall
Wash Basin/Lavatory, Single........1/il/Z
Toilet, Public lnstallation.
Toilet, Private.......
Miscellaneous:
TOTAL FIXTURE UNITS ZC+.
CREDIT CALCULATION TABLE: Based on assessed value. lf improvements occurred after annexation date in table,
calculate credits tes
x$':
2
1
2
3
6
2
6
6
1
3
2
1/Head
2
2
1
6
4
+
-T-
z
?
Credit for Parcel or Land Only lf Applicable
lmprovement (if after annexation date)
(Rate X Assessed Value)x$
(Rate X Assessed Value)
CREDIT TOTAL : $
Year
Annexed
Rate per $1,OOO
Asseised Value
Year.
Annexed
Rate per $1,OOO
Assessed Value
1 989
1 990
1 991
1 992
1 993
1 994
'r"; .1995
1 996
1 997
$1.98
1.55
1.15
0.96
o.83
o.67
o.52
0.38
o.21
1979 or before
1 9BO
1 981
1982
1 983
1 984
1gg5'"; " . ..
1 986
1 987
1 9BB
$4.27
4.18
4.12
3.99
3.83
'3.68
3.48
3.18
2.82
2.42
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
(For Estimating Purposes Only)
Residential.
Commerical
lndustrial........
Governmental............
o.4
0.9
05
o.5
FIXUNIT.WPD IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT
I
t/
l
I